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PARAMETER <br />I Lenity under penalty of lax that this document and all attachments a ere prepared under my &merlon or <br />,npr,,,, ,n accordance with a a stem designed In assure that qualified personnel properly gather and <br />e dual th e InF uo submittal Based on my Inquiry of the person or persons who manage the <br />w,tem or those persons directly r po ,bie for gathering the information, the information submmed is <br />to the best of my knowledge belief, we ac,unte, and complete I am aware that there are significant <br />p enalties for submitting false information, Including the posstb,lny of f e an d imprisonment for known <br />un <br />Ian <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />on <br />z <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />04 and grease visual <br />84066 1 0 <br />Efiuent Gross <br />SAMPLE <br />MEASUREMENT <br />NUMBER <br />MM/DD <br />TYPED OR PRINTED <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />•w•a•' <br />`www'a <br />Monthy <br />VISUAL <br />NAME/TITLE PRI IPAL EXECUTIVE OFFICE <br />I Lenity under penalty of lax that this document and all attachments a ere prepared under my &merlon or <br />,npr,,,, ,n accordance with a a stem designed In assure that qualified personnel properly gather and <br />e dual th e InF uo submittal Based on my Inquiry of the person or persons who manage the <br />w,tem or those persons directly r po ,bie for gathering the information, the information submmed is <br />to the best of my knowledge belief, we ac,unte, and complete I am aware that there are significant <br />p enalties for submitting false information, Including the posstb,lny of f e an d imprisonment for known <br />un <br />Ian <br />r. <br />4-1 <br />/� t ' ' � j a � <br />r� r w ' — I ry 1 , ! 1 <br />• <br />TELEPHONE <br />DATE <br />J Q <br />,( <br />7 `. `' <br />e <br />a <br />�^ s <br />I ' v4 <br />1% • . ?Cr St <br />N " �- <br />l <br />///444�sy A <br />y ' <br />„7 ` a <br />Q �' Q ^ 7,�j,�r <br />_y <br />SIfi <br />AUTHORIZED AGENT NATURE OF PRINC PAL EXECUTIVE OFFICER OR <br />f <br />I <br />NUMBER <br />MM/DD <br />TYPED OR PRINTED <br />PERP 11TTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset, CO 81434-0535 <br />FACILITY: SANBORN CRK & ELK CRK MINES <br />LOCATION: 3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />ATTN James T. Cooper, EVP <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00000132 <br />PERMIT NUMBER <br />017 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />12/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <br />TO <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81424-0535 <br />MINOR <br />GUNIS <br />SURF RUNOFF TO N FK GUMS RIV <br />Extemal Outfall <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIES FOR <= 10YR,24HR PRECIP EVENT;SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10YR,24HR EVERT -SEE I.A.1,PP 4 -5, AND IA.2., P 5 <br />FOR RQMNTS. TDS MONITORING - SEE PART VI.A.2.G OF RATIONALE. 30 DAY AVG IS HIGHEST MONTHLY AVG. DURING PERIOD RPTD <br />11/09/2011 Page 2 <br />